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Relationships between HIV-related Stigma, Coping, SocialSupport and Health-related Quality of Life in People Living withHIV/AIDS
| Content Provider | Semantic Scholar |
|---|---|
| Author | Demeke, Hanna B. |
| Copyright Year | 2013 |
| Abstract | Background: HIV/AIDS disproportionately affects African Americans. The proportion of foreign-born black people living with HIV/AIDS (PLWHA) is significant and will continue to increase with the repeal of travel ban in 2010. The perception of and coping with HIV-related stigma and its consequence may vary as well. There is lack of comparative study in this area. Purpose: This study examines the relationships between perceived HIV-related stigma, coping strategies, perceived availability of social support and health-related quality of life (HRQoL) and compares native-born and foreign-born black PLWHA. Methods: This is a cross-sectional comparative study guided by the Transactional model of Stress and Coping. Multidimensional measure of internalized HIV stigma scale, the Brief COPE scale, medical outcomes study social support survey , and the second version of short form health survey were used to assess key variables. Data were analyzed using descriptive statistics and bootstrap method to examine the mediation effects of avoidance coping and moderation effect of nativity and social support. Findings: Thirty seven English-speaking foreign born and 63 native born blacks living with HIV participated. Compared with native participants, foreign-born participants were more likely to be female, heterosexual, a non-drinker and non-smoker, to live with someone, be diagnosed with AIDS and not to disclose their HIV status. Foreign-born patients had significantly higher HIV-related stigma and lower social support and had lower mental summary scores of HRQoL (MCS) than native patients. However, no significant differences were found in their use of coping strategies and physical summary scores of HRQoL. The relationship between HIV-related stigma and MCS was mediated by avoidance coping for native-born participants, but it was not for foreign-born groups. The relationship between HIV-related stigma and MCS was mediated by avoidance coping for those who perceived low social support group, but it was not for those who perceived high social support. Discussion: These findings highlight the significant differences between native and foreign-born HIV-infected blacks. Interventions targeting coping strategy and social support need to consider differences and similarities between native and foreign-born groups. This study contributes toward developing a sound understanding of the growing population of foreign-born blacks living with HIV/AIDS. |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | https://legacy-etd.library.emory.edu/file/view/pid/emory:d7jtv/etd/emory:d7jrk/demeke_dissertation.pdf |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
